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An endoscopy does not necessarily show reflux. It didn't in our family. An upper GI series (Barium) will show reflux as will a 24 hour impedence PH probe. The second test will show acidic and nonacidic events. The member in my family had very serious refluxing which was shown on both of these tests but not an endoscopy. Two endoscopies also didn't find the hernia. Also research non acidic reflux. A really good ENT with a probe can also see refluxing. Symptoms prior to diagnosis over the years included persistent inflamed tonsils but rarely strep, severe headaches, sinus infections, stomach pain, non stop nasal drip, and eventually asthma and non stop vomiting. This went on for at least seven years before this was found.View Thread